Johns Hopkins University, School of Medicine, Department of Emergency Medicine, Baltimore, Maryland USA.
Prehosp Disaster Med. 2014 Feb;29(1):107-9. doi: 10.1017/S1049023X13009205. Epub 2013 Dec 23.
Injuries sustained by disaster responders can impede the affected individuals' ability to perform critical functions and often require the redirection of already scarce resources. Soft-tissue injuries to the hand are commonly experienced by disaster workers and even seemingly mild lacerations can pose the potential for significant complications in such hazard-filled environments. In this report, the authors describe their experience utilizing tissue adhesive to create a functional and effective barrier dressing for a hand injury sustained by a responder at the West, Texas USA fertilizer plant explosion. This technique of wound management allowed the patient to continue performing essential onsite functions for a sustained period following the explosion and the subsequent investigative processes. At the 30-day follow-up, the wound was well healed and without complications. This technique proved to be a valuable method of field expedient wound management and is worthy of consideration in similar future circumstances.
灾难救援人员所受的伤害会妨碍他们执行关键任务的能力，而且往往需要重新调配本已稀缺的资源。灾难工作人员经常会遭受手部软组织损伤，即使是看似轻微的撕裂伤，在这种充满危险的环境中也可能会引发严重的并发症。在本报告中，作者描述了他们利用组织粘合剂为一名在美国德克萨斯州韦斯特市化肥厂爆炸事件中的救援人员手部受伤制作功能性有效屏障敷料的经验。这种伤口管理技术使患者能够在爆炸及随后的调查过程中持续一段时间执行关键的现场任务。在 30 天的随访中，伤口愈合良好，无并发症。该技术被证明是一种有效的现场应急伤口管理方法，在类似的未来情况下值得考虑。
